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October 1994 - present
Publications
Publications (288)
Background
Cardiovascular health (CVH) in young adulthood is associated with CVD in later life, yet CVH in young adults in the United States falls below ideal levels, with noticeable sex differences. Research on CVH in young adults in Puerto Rico is scarce. This study examined CVH and sex differences in CVH in a large cohort of young adults in Puer...
Residents of Puerto Rico face a high burden of food insecurity (FI), which has been associated with insomnia symptoms (IS). However, this association remains understudied in Puerto Rican young adults, a vulnerable group experiencing an elevated prevalence of FI and poor sleep. We evaluated the association between FI and IS and the mediating role of...
Objective
We aimed to determine the relationship between socioeconomic and psychological factors and overall cardiovascular health (CVH), as defined by the American Heart Association's Life's Essential 8 (LE8), among young adults in Puerto Rico.
Methods
Participants were 2156 young adults, between the ages of 18–29 years, enrolled in the PR-OUTLOO...
In September 2020, the National Institutes of Health acted in response to the COVID-19 pandemic, recognizing the critical need to combat misinformation, particularly in communities disproportionately affected by the crisis. The Community Engagement Alliance (CEAL) emerged as an initiative dedicated to fostering reliable, science-based information,...
The Puerto Rico (PR) Young Adults' Stress, Contextual, Behavioral & Cardiometabolic Risk Study (PR-OUTLOOK) is investigating overall and component-specific cardiovascular health (CVH) and cardiovascular disease (CVD) risk factors in a sample of young (age 18-29) Puerto Rican adults in PR (target n=3,000) and examining relationships between individu...
Aims/hypothesis
Many studies have examined the relationship between plasma metabolites and type 2 diabetes progression, but few have explored saliva and multi-fluid metabolites.
Methods
We used LC/MS to measure plasma (n=1051) and saliva (n=635) metabolites among Puerto Rican adults from the San Juan Overweight Adults Longitudinal Study. We used e...
OBJECTIVES/GOALS: Research on mild cognitive impairment (MCI) risk factors in type 2 diabetes mellitus (T2DM) is scarce; however, MCI is a concern in T2DM as it can adversely impact self-care behaviors. This study aims to estimate the proportion of MCI and describe its sociodemographic, clinical, psychosocial, and lifestyle characteristics in older...
Background: Recent research has identified associations between optimism and cardiovascular disease endpoints. However, other resilience factors like shift-and-persist (SP; adapting the self to stress while finding purpose in tough times), spirituality, social support, and life satisfaction have been understudied. We assessed associations among the...
An extreme Saharan dust storm (named Godzilla ) arrived to the Caribbean region in June 2020, deteriorating the air quality to hazardous levels and unhealthy conditions for sensitive groups of people. Our main objective was to characterize populations at risk for Saharan Dust by analyzing distribution and levels of dust events in Puerto Rico, and b...
Background: Fungi are a major component of the human microbiome that only recently received attention. The imbalance of indigenous fungal communities and environmental fungi present in the oral cavity may have a role in oral dysbiosis, which could exacerbate oral inflammatory diseases.
Methods: We performed a cross-sectional study and recruited 88...
Objective
Residents of Puerto Rico are disproportionately exposed to social and environmental stressors (e.g., Hurricane María and the 2020 sequence of tremors) known to be associated with psychological distress. Shift-and-persist (SP), or the ability to adapt the self to stressors while preserving focus on the future, has been linked with lower ps...
Background
Identifying factors related to persistent human papillomavirus (HPV) infection is essential to reduce the incidence of HPV-related cancers.
Objective
To evaluate whether gingival/periodontal inflammation is associated with oral HPV infection.
Methods
This cross-sectional study (n = 740) uses data from the follow-up visit of the San Jua...
This study investigated the relationship between obstructive sleep apnea and haemoglobin A1c (HbA1c) among Hispanics/Latinos in the United States and assessed whether this relationship was moderated by glycaemic status. This was a cross‐sectional analysis of the Hispanic Community Health Study/Study of Latinos cohort. The sample consisted of 13,394...
Disclosure: I.C. Arroyo: None. L. Gonzalez-Rodriguez: None. B. Diaz Rios: None. Y. Rivera-Rodriguez: None. A. Garcia-Irizarry: None. H. Cabrera-Martinez: None. L. Gonzalez-sepulveda: None. C. Perez-Cardona: None. J. Romaguera: None. R. Azziz, MD, MBA, MPH: Advisory Board Member; Self; Arora Forge. Consulting Fee; Self; Rani Therapeutics, Spruce Bio...
Disclosure: L.A. Gonzalez-Rodriguez: Research Investigator; Self; Eli Lilly & Company. I.C. Arroyo: None. B. Diaz-Rios: None. L. González-Sepúlveda: None. C.M. Casas-Loyola: None. J. Bermúdez-Santos: None. C. Pérez-Cardona: None. J. Romaguera: None. R. Azziz, MD, MBA, MPH: Advisory Board Member; Self; Arora Forge. Consulting Fee; Self; Rani Therape...
Puerto Rico (PR) has faced environmental and public health challenges that could have significantly affected cancer screening access. Using administrative claims data from PR’s Medicaid population, this study assessed trends in colorectal and breast cancer screening from 2016 to 2021, the impact of disasters in screening, and the absolute deficit i...
Hispanic/Latino communities have suffered a disproportionate burden of the COVID-19 pandemic. Although Puerto Rico has one of the highest COVID-19 primary series vaccination rates nationwide, this estimate contrasts with the reported booster doses’ low uptake. This study aimed to assess health belief correlates of COVID-19 vaccine booster uptake. U...
Background:
The COVID-19 pandemic created challenges in accessing food, water, medications, and healthcare services some of which are linked with lower self-rated health (SRH). These challenges have already been documented in the US, but it remains unknown how the pandemic affected access to food, water, medications and healthcare services, and ho...
Hispanic/Latino communities have suffered a disproportionate burden due to the COVID-19 pandemic. Although Puerto Rico has one of the highest COVID-19 primary series vaccination rates nationwide, this estimate contrasts with the low uptake of booster doses (32.7%). This study aimed to assess health belief correlates of COVID-19 vaccine booster upta...
Objectives:
Hypertension poses a major public health challenge due to its association with increased risk of heart disease, chronic kidney disease, and death. The objective of this study is to evaluate the longitudinal association between periodontitis and the risk of hypertension.
Methods:
Using a cohort study design, 540 participants free of d...
Residents of Puerto Rico bear a significant burden of mental health disorders, which the COVID-19 pandemic may have exacerbated. However, age-specific data on these disorders during the pandemic in Puerto Rico are scarce. This study evaluated age-related differences in the self-reported diagnosis of depression and anxiety among adults ≥18 years res...
The network interaction between systemic inflammatory mediators, endothelial cell adhesion function, and adiponectin as mediators of the association between metabolic diseases and periodontitis has not been evaluated. The objective of this study is to assess whether the interaction of baseline serum levels of TNF-α, hs-CRP, ICAM-1, VCAM-1, and adip...
Introduction: The COVID-19 pandemic has caused major changes to healthcare services, especially those related to early detection and screening practices like breast cancer. In Puerto Rico, breast cancer is the main cause of death, representing 18.9% of cancer deaths in women, making early detection even more important to prevent morbidity and morta...
INTRODUCTION: Puerto Rico has endured three major environmental and public health crises (Hurricane Irma, Hurricane Maria, the unprecedented seismic activity of January 2020) and the coronavirus disease 2019 (COVID-19) pandemic during the past 5 years. All these events might lead to an unquestionable deleterious impact in the prevention of cancer a...
Introduction: Cancer patients have a high risk of severe COVID-19 and complications from it. Although the COVID-19 pandemic has led to an increase in the conduction of clinical trials (CTs), there is a scarcity of data on CT participation among cancer patients. We aimed to describe the level of participation in a COVID-19 CT, willingness to partici...
This study aimed to compare the demographic and clinical characteristics of COVID-19 patients in Puerto Rico by symptom severity and identify risk factors for moderate-to-severe disease severity .
Background: Emerging evidence supports significant variations in cardiovascular health (CVH), as defined by the American Heart Association (AHA) using “Life’s Simple 7” metrics, among Hispanics in the mainland US by sex and heritage group. Of these, Hispanic men and those of Puerto Rican background are less likely to meet favorable CVH criteria. Ye...
Background: Shift-and-persist (SP), defined as the ability to adapt the self to stressors while preserving focus in the future, is associated with favorable cardiometabolic outcomes. SP may be of great importance to individuals in Puerto Rico (PR) given their disproportionate exposure to social and environmental stressors. However, there is a scarc...
Background: Depressive symptoms are associated with cardiovascular disease (CVD) incidence, morbidity and mortality. Less is known about the association between depressive symptoms and overall cardiovascular health (CVH) of young adults, an age group that commonly experiences depressive symptoms. We examined the association between depressive sympt...
Background: Recommendation by a healthcare provider is essential for women to seek preventative cancer screening. Research has shown patients are receptive to information about cancer screening given by health professionals administering influenza vaccines. Promotion of cancer screening during vaccination may be particularly important in Puerto Ric...
Religiosity may influence COVID-19 vaccination. However, it remains unclear how religiosity is associated with beliefs toward COVID-19 and vaccination against it, particularly amongst ethnic minorities. This study examined the association between religiosity, vaccination intent, beliefs, and attitudes related to COVID-19 and vaccination among adult...
Introduction: Microbiota plays an essential role in the oral cavity and oral dysbiosis, leading to inflammatory diseases such as periodontitis. Periodontal disease is associated with a two-fold increase in the risk of oral cancer; thus, evaluating polymicrobial associations across a gradient of periodontitis will help understand the microbial proce...
Objectives
To examine the associations between changes in eating, weight, and perceived health during the COVID-19 pandemic among adults in Puerto Rico.
Methods
This analysis used cross-sectional data from the Puerto Rico-Community Alliance Against COVID-19 Disparities (CEAL) study. Individuals were adult men and women (n = 551; ≥18 y) who complet...
Objectives
To evaluate changes in weight, eating frequency, and stress during the COVID-19 pandemic among adults in Puerto Rico and examine differences by gender.
Methods
Individuals were men and women (n = 551 ≥18 yr.) who completed the Puerto Rico Community Engagement Research Alliance Against COVID-19 Disparities online survey from December 30,...
Objectives
To examine the associations between perceived changes in stress, eating, and weight during the COVID-19 pandemic among adults in Puerto Rico.
Methods
This cross-sectional analysis used data from the Puerto Rico Community Alliance Against COVID-19 Disparities (CEAL) study. A total of 551 adults (18 years) completed an online survey from...
Objectives
Hypertension poses major public health challenge due to its association with increased risk of heart disease, chronic kidney disease, and death. The objective of this study is to evaluate the longitudinal association between periodontitis and risk of hypertension.
Methods
540 participants free of diagnosed hypertension/prehypertension i...
We evaluated the relationship between glucose abnormalities and periodontitis in overweight/obese individuals. Eight hundred and seventy (870) diabetes-free participants aged 40–65 years completed the three-year follow-up in the San Juan Overweight Adults Longitudinal Study. The ADA thresholds for fasting and 2-h post-load glucose and HbA1c were us...
Background: Ethnic minority populations are more likely to suffer from chronic comorbidities, making them more susceptible to the poor health outcomes associated with COVID-19 infection. Ensuring COVID-19 vaccination among vulnerable populations, such as cancer patients, is of utmost importance. Thus, we aimed to investigate health behaviors and pe...
Objectives
Oral human papilloma virus (HPV) infection is associated with nearly three-quarters of all oropharyngeal cancers in the United States. Research also suggests its association with periodontal disease. There are limited studies evaluating differences in HPV detection methods; however, oral rinse is considered the most sensitive detection m...
Objective
The objective of this study was to examine the sex-specific associations of mutually exclusive iron and anemia status categories with HbA1c levels among US Hispanics/Latinos without self-reported diabetes mellitus.
Methods
Baseline cross-sectional data (7,247 women and 4,904 men without self-reported diabetes mellitus) from the Hispanic...
Ethnic minority populations are more likely to suffer from chronic comorbidities, making them more susceptible to the poor health outcomes associated with COVID-19 infection. Therefore, ensuring COVID-19 vaccination among vulnerable populations is of utmost importance. We aimed to investigate health behaviors and perceptions of COVID-19 vaccination...
Objective:
Inflammatory Bowel Disease has increased in Hispanics. This study estimates its prevalence in Puerto Rico for 2013 and compares it with prior reports.
Methods:
The database of commercial and government insurance claims of the Department of Health for 2013 was used. A case was defined as having at least two medical claims of outpatient...
Background: Widespread vaccination against COVID-19 is essential to control the pandemic. Estimates of unwillingness and uncertainty toward COVID-19 vaccination and factors associated with it remain unclear among adults in Puerto Rico (PR).
Objective: To examine factors associated with uncertainty and unwillingness of COVID-19 vaccination among adu...
Introduction
We investigated whether network analysis revealed clusters of coregulated metabolites associated with prevalent type 2 diabetes (T2D) among Puerto Rican adults.
Research design and methods
We used liquid chromatography-mass spectrometry to measure fasting plasma metabolites (>600) among participants aged 40–75 years in the Boston Puer...
Background and Aims
The recent COVID-19 pandemic has further increased the importance of reducing obesity and prediabetes/diabetes. We aimed to evaluate the association between adiposity and regression of prediabetes/diabetes.
Methods and results
The San Juan Overweight Adults Longitudinal Study (SOALS) included 1,351 individuals with overweight/o...
From 1985 to 2016, the prevalence of underweight decreased, and that of obesity and severe obesity increased, in most regions, with significant variation in the magnitude of these changes across regions. We investigated how much change in mean body mass index (BMI) explains changes in the prevalence of underweight, obesity, and severe obesity in di...
Objective
This was a cross-sectional study associating vitamin D, calcium, magnesium, and potassium intakes with markers of glucose metabolism in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).
Methods
HCHS/SOL is a multicenter, prospective, population-based cohort study on Hispanics/Latinos aged 18–74 years in the US. For this an...
Alliances between the government and academic communities can be a key component of the public health response to an emergency such as the coronavirus disease 2019 (COVID-19) pandemic. The Governor of Puerto Rico designated the Puerto Rico Medical Task Force (MTF) COVID-19 to provide direct guidance and evaluation of the government response to the...
Background:
Oral and pharyngeal cancer (OPC) is a frequent type of cancer in Puerto Rico, with the risk being higher in men relative to women. We assessed differences in OPC risk factors implicated in these sex disparities.
Methods:
We analyzed data of 740 adult participants (40-65 years) from the San Juan Overweight Adults Longitudinal Study (S...
Objectives
The adolescent period is crucial for optimizing future bone health because during these years bone accumulates rapidly accounting for up to half of adult peak bone mass (PBM). Calcium intake during this stage is critical for adequate bone mineralization but this essential nutrient, the major constituent of hydroxyapatite, is usually inad...
Calcium intake is critical for adequate bone mineralization in adolescence, but it is usually inadequate in US adolescents. A strategy to maximize bone mineralization is to increase calcium absorption, which could be achieved by soluble corn fiber (SCF). There are no studies determining the long-term effects of SCF on bone mass in children.
Object...
Introduction: Incidence of oral and oropharyngeal cancers in the United States have increased an average of 0.7% per year over the last decade. Various lifestyles increase the risk of these malignancies, including tobacco, marihuana, and alcohol use, poor oral hygiene, and a diet low in fruits and vegetables. Oral and oropharyngeal cancers are the...
Background: Hurricane María struck Puerto Rico on September 20, 2017. We compared the metabolic profile of patients with diabetes before and after the hurricane.
Methods: A retrospective review of 265 patients with diabetes evaluated at our Endocrinology Clinics 6 months before (March 20, 2017- September 19, 2017) and after the hurricane (October 2...
A36: Oral microbiota associated to periodontal disease as a risk factor for oropharyngeal cancer, in patients from sexually transmitted infection… https://cancerres.aacrjournals.org/content/80/8_Supplement/A36 Abstract A36: Oral microbiota associated to periodontal disease as a risk factor for oropharyngeal cancer, in patients from sexually transmi...
Objective:
The aim of the study was to evaluate the validity of anal cytology against high-resolution anoscopy in the detection of anal high-grade squamous intraepithelial lesions (HSILs) among women in a clinical setting in Puerto Rico, alone and in combination with high-risk human papillomavirus (HR-HPV) typing.
Materials and methods:
A cross-...
Objective:
Obese women have higher cervical cancer incidence and mortality than their counterparts, possibly related to nonadherence to screening recommendations. We assessed the association of body mass index with adherence to cervical cancer screening recommendations in Hispanic women living in Puerto Rico, a minority population with the highest...
A study is presented of anomalous HVV interactions of the Higgs boson, including its CP properties. The study uses Higgs boson candidates produced mainly in vector boson fusion and gluon fusion that subsequently decay to a pair of τ leptons. The data were recorded by the CMS experiment at the LHC in 2016 at a center-of-mass energy of 13 TeV and cor...
A search for anomalous electroweak production of WW, WZ, and ZZ boson pairs in association with two jets in proton-proton collisions at \sqrt{s} = 13 TeV at the LHC is reported. The data sample corresponds to an integrated luminosity of 35.9 fb^{-1} collected with the CMS detector. Events are selected by requiring two jets with large rapidity separ...
A search is performed for neutral non-standard-model Higgs bosons decaying to two muons in the context of the minimal supersymmetric standard model (MSSM). Proton-proton collision data recorded by the CMS experiment at the CERN Large Hadron Collider at a center-of-mass energy of 13 TeV were used, corresponding to an integrated luminosity of 35.9 fb...
A search for long-lived particles decaying to displaced, nonprompt jets and missing transverse momentum is presented. The data sample corresponds to an integrated luminosity of 137 of proton-proton collisions at a center-of-mass energy of 13 TeV collected by the CMS experiment at the CERN LHC in 2016–2018. Candidate signal events containing nonprom...
The results of two searches for pair production of vectorlike T or B quarks in fully hadronic final states are presented, using data from the CMS experiment at a center-of-mass energy of 13 TeV. The data were collected at the LHC during 2016 and correspond to an integrated luminosity of 35.9 fb − 1 . A cut-based analysis specifically targets the b...
Azimuthal correlations of charged particles in xenon-xenon collisions at a center-of-mass energy per nucleon pair of √sNN=5.44 TeV are studied. The data were collected by the CMS experiment at the LHC with a total integrated luminosity of 3.42μb−1. The collective motion of the system formed in the collision is parametrized by a Fourier expansion of...
A search for a light charged Higgs boson ( H + ) decaying to a W boson and a C P -odd Higgs boson ( A ) in final states with e μ μ or μ μ μ is performed using data from p p collisions at √ s = 13 TeV , recorded by the CMS detector at the LHC and corresponding to an integrated luminosity of 35.9 fb − 1 . In this search, it is assumed that the H + bo...
A search for new light bosons decaying into muon pairs is presented using a data sample corresponding to an integrated luminosity of 35.9 of proton-proton collisions at a center-of-mass energy , collected with the CMS detector at the CERN LHC. The search is model independent, only requiring the pair production of a new light boson and its subsequen...
The production cross sections of B_{s}^{0} mesons and charge conjugates are measured in proton-proton (pp) and PbPb collisions via the exclusive decay channel B_{s}^{0}→J/ψϕ→μ^{+}μ^{−}K^{+}K^{−} at a center-of-mass energy of 5.02 TeV per nucleon pair and within the rapidity range |y|<2.4 using the CMS detector at the LHC. The pp measurement is perf...
A measurement for inclusive 2- and 3-jet events of the azimuthal correlation between the two jets with the largest transverse momenta, Δϕ12, is presented. The measurement considers events where the two leading jets are nearly collinear (“back-to-back”) in the transverse plane and is performed for several ranges of the leading jet transverse momentu...
Exclusive ρ(770)0 photoproduction is measured for the first time in ultraperipheral pPb collisions at sNN−−−√=5.02TeV with the CMS detector. The cross section σ(γp→ρ(770)0p) is 11.0±1.4(stat)±1.0(syst) μb at ⟨Wγp⟩=92.6GeV for photon–proton centre-of-mass energies Wγp between 29 and 213GeV. The differential cross section dσ/d|t| is measured in the i...
A search is presented for dark matter in proton-proton collisions at a center-of-mass energy of TeV using events with at least one high transverse momentum () muon, at least one high- jet, and large missing transverse momentum. The data were collected with the CMS detector at the CERN LHC in 2016 and 2017, and correspond to an integrated luminosity...
A search for exotic decays of the Higgs boson to a pair of light pseudoscalar particles is performed under the hypothesis that one of the pseudoscalars decays to a pair of opposite sign muons and the other decays to . Such signatures are predicted in a number of extensions of the standard model (SM), including next-to-minimal supersymmetry and two-...
A measurement of electroweak (EW) vector boson scattering is presented. The measurement is performed in the leptonic decay modes , where . The analysis is based on a data sample of proton-proton collisions at TeV at the LHC collected with the CMS detector and corresponding to an integrated luminosity of 35.9 fb−1. The plus two jet production cross...
A search is presented for charged Higgs bosons in the H^{±} → τ^{±}ν_{τ} decay mode in the hadronic final state and in final states with an electron or a muon. The search is based on proton-proton collision data recorded by the CMS experiment in 2016 at a center-of-mass energy of 13 TeV, corresponding to an integrated luminosity of 35.9 fb^{-1}. Th...
The performance of missing transverse momentum (p® miss T ) reconstruction algorithms for the CMS experiment is presented, using proton-proton collisions at a center-of-mass energy of 13 TeV, collected at the CERN LHC in 2016. The data sample corresponds to an integrated luminosity of 35.9 fb−1 . The results include measurements of the scale and re...
Objective:
To explore the associations between feeding practices and diet quality with weight in Puerto Rican infants/toddlers.
Methods:
This was a longitudinal study done in a sample of 296 caregivers and their children aged 0-24 months from a WIC clinic in PR. A. Caregivers completed questionnaires on socio-demographics and feeding practices a...
Results are reported of a search for supersymmetry in final states with photons and missing transverse momentum in proton-proton collisions at the LHC. The data sample corresponds to an integrated luminosity of 35.9 fb−1 collected at a center-of-mass energy of 13 TeV using the CMS detector. The results are interpreted in the context of models of ga...
A measurement of the top quark–antiquark pair production cross section σtt¯ in proton–proton collisions at a centre-of-mass energy of 13TeV is presented. The data correspond to an integrated luminosity of 35.9fb−1, recorded by the CMS experiment at the CERN LHC in 2016. Dilepton events (e ± μ ∓, μ+μ−, e+e−) are selected and the cross section is mea...
The modification of jet shapes in Pb-Pb collisions, relative to those in p p collisions, is studied for jets associated with an isolated photon. The data were collected with the CMS detector at the LHC at a nucleon-nucleon center-of-mass energy of 5.02 TeV. Jet shapes are constructed from charged particles with track transverse momenta ( p T ) abov...
A top quark mass measurement is performed using 35.9 fb−1 of LHC proton–proton collision data collected with the CMS detector at √s = 13 TeV. The measurement uses the tt all-jets final state. A kinematic fit is performed to reconstruct the decay of the tt system and suppress the multijet background. Using the ideogram method, the top quark mass (mt...
Purpose of Review
Research suggests that periodontal tissue might serve as a reservoir for oral human papillomavirus (HPV) infection, while another hypothesis is that chronic inflammation of the tissue might perpetuate an infection with oral HPV infection. In this narrative review, we summarize the evidence related to a potential association betwee...
A search for dark matter produced in association with a Higgs boson decaying to a pair of bottom quarks is performed in proton–proton collisions at a center-of-mass energy of 13 TeV collected with the CMS detector at the LHC. The analyzed data sample corresponds to an integrated luminosity of 35.9 fb−1. The signal is characterized by a large missin...
Aims
To assess the level of agreement between point‐of‐care and laboratory reference glucose values in defining glycaemic status.
Methods
We analysed 1292 overweight/obese, non‐institutionalized participants, aged 40–65 years, in the San Juan Overweight Adults Longitudinal Study. Fasting venous blood glucose was determined using a point‐of‐care Ba...
Measurements of differential top quark pair tt¯ cross sections using events produced in proton-proton collisions at a centre-of-mass energy of 13 TeV containing two oppositely charged leptons are presented. The data were recorded by the CMS experiment at the CERN LHC in 2016 and correspond to an integrated luminosity of 35.9 fb−1. The differential...
A measurement of the energy density in proton–proton collisions at a centre-of-mass energy of s√=13 TeV is presented. The data have been recorded with the CMS experiment at the LHC during low luminosity operations in 2015. The energy density is studied as a function of pseudorapidity in the ranges −6.6<η<−5.2 and 3.15<|η|<5.20. The results are comp...
Objective: To pilot test the effectiveness of “MyNutriCart”, a smartphone application (app) that generates healthy grocery lists, on diet and weight. Methods: A pilot randomized trial was conducted to test the efficacy of using the “MyNutriCart” app compared to one face-to-face counseling session (Traditional group) in Hispanic overweight and obese...
Breast cancer is the most common cause of cancer diagnosis in women and is responsible for considerable mortality among the women of Puerto Rico. However, there are few studies in Puerto Rico on the genetic factors influencing risk. To determine the contribution of pathogenic mutations in BRCA1 and BRCA2, we sequenced these genes in 302 cases from...
Measurements of B_{s2}^{*} (5840)⁰ and B_{s1} (5840)⁰ mesons are performed using a data sample of proton-proton collisions corresponding to an integrated luminosity of 19.6 fb⁻¹, collected with the CMS detector at the LHC at a centre-of-mass energy of 8 TeV. The analysis studies P-wave B_{s}^{0} meson decays into B^{(*)}⁺K⁻ and B^{(*)}⁰K_{s}^{0}, w...
Background:
Hurricane Maria struck Puerto Rico on Sept 20, 2017, devastating the island. Controversy surrounded the official death toll, fuelled by estimates of excess mortality from academics and investigative journalists. We analysed all-cause excess mortality following the storm.
Methods:
We did a time-series analysis in Puerto Rico from Sept...
Objective:
To determine the mean levels of glycated hemoglobin (HbA1c) in a subsample of non-diabetic Hispanic Puerto Ricans living in the San Juan metropolitan area (SJMA) and to assess the sensitivity and specificity of HbA1c as a diagnostic test for prediabetes.
Research design and methods:
This was a secondary data analysis of the parent stu...